Individual
BARRY WILLIAM CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
515 CHESAPEAKE DR, TARPON SPRINGS, FL 34689-2515
(727) 934-4629
Mailing address
20 PLOVER PL, PALM HARBOR, FL 34683-4830
(727) 254-0375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17054
FL
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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